A composite vertebroplasty cement for positioning in a void in a vertebral body so as to treat a compression fracture in that vertebral body, the composite vertebroplasty cement comprising: a ceramic component for integrating with the vertebral body so as to treat the compression fracture; and a sealing component for sealing the void in the vertebral body so as to maintain the composite vertebroplasty cement within the void in the vertebral body. A composite vertebroplasty cement for positioning in a void in a vertebral body so as to treat a compression fracture in that vertebral body, the composite vertebroplasty cement comprising: a conventional PMMA bone cement component for integrating with the vertebral body so as to treat the compression fracture; and a sealing component for sealing the void in the vertebral body so as to maintain the composite vertebroplasty cement within the void in the vertebral body.

 
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